NPI | 1801268248 |
---|---|
Other Name | SANDRA JOY TECSON DELA VEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006108) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339347) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024177155) | |
Enumeration Date | 2015-10-26 |
Last Update Date | 2023-11-02 |